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Full Time Care Review Processor Jobs (NOW HIRING)

Molina Healthcare

Care Review Clinician, RN/LPN

Fresno, CA · Remote

$27.61 - $53.83/hr

Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...

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How much do full time care review processor jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for full time care review processor in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.

What jobs pay 4000 a week without a degree?

A Full Time Care Review Processor typically does not earn $4,000 weekly; such high pay often requires specialized skills or experience. Jobs that can pay this amount without a degree include certain sales roles, real estate agents, or skilled trades like plumbing or electrical work, especially with commissions or overtime. These roles often rely on performance, certifications, or licensing rather than formal education.

How can I make 2000 a week working from home?

A Full Time Care Review Processor can increase earnings by handling a high volume of reviews efficiently, often earning based on the number of reviews processed or quality metrics. To reach $2000 weekly, it typically requires consistent, fast work, possibly supplemented with bonuses or incentives, and strong attention to detail. Developing skills in review management and using relevant tools can improve productivity and income potential.

Is there a job where you get paid to review products?

A Full Time Care Review Processor is a role that involves evaluating and reviewing products, often for companies or review platforms. These jobs typically require attention to detail and good communication skills and may involve testing products or analyzing feedback. Such positions can be full-time and may include tasks like writing reviews or assessing product quality.

What is the difference between Full Time Care Review Processor vs Part Time Care Review Processor?

AspectFull Time Care Review ProcessorPart Time Care Review Processor
Work HoursTypically 35-40 hours per weekLess than 30 hours per week
CredentialsUsually requires similar certifications and experienceSame certifications, fewer hours
Work EnvironmentOffice or remote, full-time schedulePart-time, flexible hours, same environment
Employer UsageCommon in healthcare and insurance companiesUsed by similar employers for flexible staffing

Full Time Care Review Processors work full-time hours, often with more consistent schedules, while Part Time Care Review Processors work fewer hours with flexible scheduling. Both roles require similar credentials and are employed in healthcare and insurance industries. The main difference lies in the hours worked and scheduling flexibility.

What is a care review processor?

A care review processor is a professional responsible for evaluating and analyzing healthcare or insurance claims to ensure accuracy, compliance, and appropriate care coverage. They often review medical records, verify documentation, and use specialized software to process cases efficiently, typically working in healthcare or insurance environments.
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What cities are hiring for Full Time Care Review Processor jobs? Cities with the most Full Time Care Review Processor job openings:
What are the most commonly searched types of Care Review Processor jobs? The most popular types of Care Review Processor jobs are:
What job categories do people searching Full Time Care Review Processor jobs look for? The top searched job categories for Full Time Care Review Processor jobs are:
Full Time Care Review Processor jobs near you
Infographic showing various Full Time Care Review Processor job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 22% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $34,822 per year, or $16.7 per hour.
Care Review Clinician, RN/LPN

Care Review Clinician, RN/LPN

Molina Healthcare

San Francisco, CA • Remote

$27.61 - $53.83/hr

Full-time

Re-posted 17 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

134th of 281 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 

Essential Job Duties


Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. 
Analyzes clinical service requests from members or providers against evidence based clinical guidelines. 
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. 
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. 
Processes requests within required timelines. 
Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner. 
Requests additional information from members or providers as needed. 
Makes appropriate referrals to other clinical programs. 
Collaborates with multidisciplinary teams to promote the Molina care model. 
Adheres to utilization management (UM) policies and procedures.

Required Qualifications

At least 2 years health care experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. 
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.  
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications

  • Experience with MCG, QNXT and/or Pega.
  • Certified Professional in Healthcare Management (CPHM).
  • 3+ years recent experience in utilization management with prior authorizations 
    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $27.61 - $53.83 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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